Sahak Echo

Ascending aorta aneurysm

RV filled with multiple masses. 20 year old boy. Befor 20 days he was active and suddenly got shortness of breath. His one leg have been amputated due to injury during war few years ago. One mass from RA want to inter RV but there is no space. One mass from RV want to go to pulmonary artery but the base of mass is large and cannot pass pulmonary valve. Pericardial effusion and pleural effusion are present .RV is 90% filled with masses. Rv and RA are dilated. Patien is dyspnic and cyanotic. By patient's history It is most likely thrombuses but tumors cannot be excluded.